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Pediatric Fracture s

Pediatric Fracture s. T urhan Ö zler MD Yeditepe University Faculty of Medicine Department of Orthopaedics & Traumatology. FEUTURES. 1- Plastic deformation. 2- Thick periost and shorter healing time. 3- Remodeling. 4- Lower nonunion rate. Fracture in Children.

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Pediatric Fracture s

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  1. Pediatric Fractures Turhan Özler MD Yeditepe University Faculty of Medicine Department of Orthopaedics & Traumatology

  2. FEUTURES 1- Plastic deformation. 2- Thick periost and shorter healing time. 3- Remodeling. 4- Lower nonunion rate.

  3. Fracture in Children Radius and ulna Reduction should be done >20° >4 years Restriction of pronation/supination Plasticdeformation

  4. Greenstickfracture Cortex is broken at tension site but intact at compression site Treatment: Reduction + casting

  5. Torus Fracture • Axielcompressioncausetorus fracture • Metaphizo-diapfizer site • Rediographic aperrance is cortical precence • No need reduction + casting

  6. Epiphysealfracture

  7. Kemik büyümesinin anlaşılması ortopedinin temel konusudur

  8. Damarsal yapı • Epifiziyel arter • Perikondral arter • Temel besleyici arter The Ciba collection Volum 8; p.166

  9. Artiküler kıkırdak Articular cartilage Epiphyseal Growth plate (poorly organized) Transformed into Tidemark at maturity Secondary Ossification center 1st Cribiform Epiphyseal artery F. Netter, 1990

  10. Salter Harris Classification • Tip1: The epiphysis is completely separated from the end of the bone. • Tip2: The epiphysis, together with the growth plate, is partially separated from the metaphysis, which is cracked. • Tip3: fracture runs completely through the epiphysis and separates part of the epiphysis and growth plate from the metaphysis. • Tip4: This fracture runs through the epiphysis, across the growth plate, and into the metaphysis. • Tip5:The growth plate is compressed.

  11. Case 1

  12. Case 2

  13. Case 3

  14. Case 4

  15. Indications for Open Reduction • Open fractures • Inability to maintain acceptable reduction • Multiple trauma • Elastic nail fixation can often be accomplished with little soft tissue disruption

  16. Case 5

  17. Case 6

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